Outpatient Complex Coder

Banner Health

. Provide coding and abstracting for outpatient complex surgical and observation acute care services at all Banner hospitals .

Posted 11/5/2026full-timeRemote • United StatesJuniorMid-Level💰 $27 - $41 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in outpatient complex surgical coding, including proficiency in ICD-10-PCS, ICD-10-CM, and CPT coding. Ensures compliance with regulatory standards and effectively mentors junior staff in coding practices.

Highest-signal resume keywords

Outpatient Facility-Based CodingICD-10-PCS CodingCPT CodingAAPC or AHIMA CertificationComplex Coding Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10-CM CodingCPT-4 CodingAbstracting Clinical DiagnosesCoding ComplianceNCCI Edits AnalysisMedical Record Documentation ReviewDiagnosis and Procedure CodingAPC AssignmentCoding Guidelines InterpretationHealthcare Coding Standards

Soft Skills

Effective CommunicationMentoringProblem-SolvingAttention to DetailTime Management

Tools & Technologies

Coding SoftwareAbstracting SystemsCommon Office Programs

Certifications & Qualifications

CCSCOCCPCRHITRHIA

Industry Keywords

Acute CareOutpatient Complex CodingHealthcare ComplianceCMS RegulationsOIG StandardsHCFA GuidelinesMedical TerminologyAnatomy and PhysiologyPathologyClassification of Diagnoses

About the role

Key responsibilities & impact

Provide coding and abstracting for outpatient complex surgical and observation acute care services at all Banner hospitals
Review health record documentation and assign diagnoses and surgical procedure codes using ICD-CM/PCS and CPT-4 systems
Complete APC assignment on outpatient complex records as appropriate
Ensure ethical, accurate, and compliant coding under regulatory requirements and national coding guidelines
Analyze medical records and code diagnostic and procedural information, including modifiers
Consult medical providers to clarify missing or inadequate documentation and determine appropriate codes
Meet department productivity and quality standards
Address National Correct Coding Initiative (NCCI) edits and reconcile charges as required
Abstract clinical diagnoses, procedure codes, and other pertinent patient-encounter information
Place accounts in the appropriate status when documentation is missing
Ensure compliance with CMS, OIG, HCFA, state Medicaid plans, Banner policies, and professional standards
Mentor less experienced staff members and serve as a subject matter expert for complex coding
Independently interpret coding guidelines, NCCI edits, and LCDs before escalation to coding leadership
Work under general supervision and perform duties according to policies, procedures, regulatory, and accreditation requirements

Requirements

What you’ll need

2 years recent experience in Outpatient Facility-based coding of Same Day Surgery & Observation
Complex coding experience in acute care across service lines
Experience with ICD-10-PCS, ICD-10-CM, and CPT coding
Current certification through AAPC or AHIMA: CCS, COC, CPC, RHIT, RHIA, or another appropriate coding certification in active status
High school diploma/GED or equivalent working knowledge and specialized formal training in medical record keeping, anatomy, physiology, pathology, medical terminology, nomenclature, and classification of diagnoses and operations, or an Associate’s degree in a health care field
Two or more years of outpatient complex experience in an acute care inpatient facility or healthcare system
Knowledge and understanding of ICD CM/PCS and CPT4 coding principles and competencies
Ability to work effectively and efficiently in a remote setting using common office programs, coding software, and abstracting systems
Ability to complete a coding assessment within 48 hours after a successful interview
Ability to work an 8-hour shift between 5am-7pm, Monday-Friday
Ability to work with extensive sitting, periodic standing and walking, and significant computer, phone, and office-equipment use
May be required to lift up to 20 pounds
Ability to communicate effectively through reading, writing, and speaking

Benefits

Comp & perks

Banner Health provides your equipment when hired
Fully remote position
Flexible 8-hour shift between 5am-7pm, Monday-Friday
Initial training support from the Banner Coding Education team and hiring manager
Continued career support
Great Place To Work® Certification™ workplace investment
Stimulating and rewarding career opportunities
Drug-free work environment